Reszka Stephanie S, Boyd Brian A, McBee Matthew, Hume Kara A, Odom Samuel L
Department of Allied Health, Division of Occupational Science and Occupational Therapy, University of North Carolina, 321 S. Columbia Street, Bondurant Hall CB #7122, Chapel Hill, NC, 27599-7122, USA,
J Autism Dev Disord. 2014 Feb;44(2):466-70. doi: 10.1007/s10803-013-1879-7.
The autism spectrum disorder (ASD) diagnostic classifications, according to the DSM-5, include a severity rating. Several screening and/or diagnostic measures, such as the autism diagnostic and observation schedule (ADOS), Childhood Autism Rating Scale (CARS) and social responsiveness scale (SRS) (teacher and parent versions), include an assessment of symptom severity. The purpose of this study was to examine whether symptom severity and/or diagnostic status of preschool-aged children with ASD (N = 201) were similarly categorized on these measures. For half of the sample, children were similarly classified across the four measures, and scores on most measures were correlated, with the exception of the ADOS and SRS-P. While the ADOS, CARS, and SRS are reliable and valid measures, there is some disagreement between measures with regard to child classification and the categorization of autism symptom severity.
根据《精神疾病诊断与统计手册》第五版（DSM-5），自闭症谱系障碍（ASD）的诊断分类包括严重程度评级。一些筛查和/或诊断工具，如自闭症诊断观察量表（ADOS）、儿童自闭症评定量表（CARS）和社会反应量表（SRS，包括教师版和家长版），都包含对症状严重程度的评估。本研究的目的是检验患有ASD的学龄前儿童（N = 201）的症状严重程度和/或诊断状态在这些工具上的分类是否相似。对于一半的样本，儿童在这四种工具上的分类相似，并且大多数工具的得分具有相关性，但ADOS和SRS-P除外。虽然ADOS、CARS和SRS都是可靠且有效的工具，但在儿童分类和自闭症症状严重程度的分类方面，各工具之间存在一些分歧。
